Synopsis of Authors' Case.—Woman, aged 22 years, seized with sudden pain in the left loin, radiating forward into the left hypochondrium; rigidity of lumbar muscles with tenderness in costovertebral angle; fever, rapid pulse; leukocytosis; in urine albumin, hyaline and granular casts, red blood-cells and pus-cells. Patient moderately septic; nephrectomy; kidney the seat of disseminated, suppurative nephritis. Patient made a good recovery although some weeks later it was necessary to remove the submaxillary gland for calculous inflammation.
Pathological and clinical studies have caused the belief to prevail that acute hematogenous inflammation of the kidney is always bilateral. This is, however, not the case; but exceptions to the rule are so rare and so little understood that reports of single instances are not without value. Acute unilateral inflammations differ from the commoner types of acute nephritis in that they are of an interstitial character; rather inflammatory than degenerative, and